Continuous Erector Spinae Plane Block for Rescue Analgesia in Thoracotomy After Epidural Failure: A Case Report

Mauricio Forero; Manikandan Rajarathinam; Sanjib Adhikary; Ki Jinn Chin

doi:10.1213/XAA.0000000000000478

Continuous Erector Spinae Plane Block for Rescue Analgesia in Thoracotomy After Epidural Failure: A Case Report

A A Case Rep. 2017 May 15;8(10):254-256. doi: 10.1213/XAA.0000000000000478.

Authors

Mauricio Forero¹, Manikandan Rajarathinam, Sanjib Adhikary, Ki Jinn Chin

Affiliation

¹ From the *Department of Anesthesia, McMaster University, Hamilton, Ontario, Canada; †Department of Anesthesiology and Perioperative Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania; and ‡Department of Anesthesia, University of Toronto, Ontario, Canada.

PMID: 28252539
DOI: 10.1213/XAA.0000000000000478

Abstract

The ultrasound-guided erector spinae plane (ESP) block is a newly described technique for providing thoracic analgesia. It is simple to perform and relatively noninvasive compared with thoracic epidural analgesia. In addition, the anatomy lends itself well to catheter insertion for continuous blockade. In this report, we describe the use of the ESP block as a rescue analgesic technique for postthoracotomy analgesia in a patient with failed thoracic epidural analgesia.

Publication types

Case Reports

MeSH terms

Aged
Amides / administration & dosage*
Analgesia, Epidural*
Anesthetics, Local / administration & dosage*
Humans
Lung Neoplasms / surgery*
Male
Nerve Block / methods*
Pain Measurement
Pain, Postoperative / diagnosis
Pain, Postoperative / etiology
Pain, Postoperative / physiopathology
Pain, Postoperative / prevention & control*
Pneumonectomy / adverse effects*
Ropivacaine
Thoracotomy / adverse effects*
Treatment Failure
Ultrasonography, Interventional

Substances

Amides
Anesthetics, Local
Ropivacaine